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CQC report explained · a nursing home, run by The Oaks (Spring)

The Oaks

904 Sidcup Road, New Eltham, London, SE9 3PW

Goodpublished 21 January 2025, 19 months ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The latest report, explained

What inspectors found, January 2024

Rated Inadequate and placed in special measures; inspectors found serious risks involving safety, medicines, hydration and management.

Inspectors carried out a comprehensive inspection over three days. They reviewed care and medicine records, staff files, training records, complaints, accidents and quality checks. They spoke with people living in the home, relatives and staff, and observed care.

They found people were at risk of harm. Call bells were often out of reach, repositioning plans were not followed, medicines were not always given or recorded safely, and some building and infection control problems had not been fixed. People at risk of dehydration were not always given enough support to drink.

Care was not always kind, dignified or personal. Mealtimes were poorly organised, activities did not meet everyone's needs, and care plans lacked important information about people's history, preferences and health conditions. The home had systems for checking quality, but these had not found or fixed problems quickly enough.

The overall rating is Inadequate. Safe and well-led were rated Inadequate, while effective, caring and responsive were rated Requires Improvement. The home was placed in special measures, meaning CQC will keep it under review and normally reinspect within six months.

What inspectors praised
  • Communication support

    The home was meeting the Accessible Information Standard. Care records included communication needs and staff were seen communicating with people in their first language.

    The provider was meeting the Accessible Information Standard. People's communication needs were understood and supported.from the report
  • Complaints handled

    The home had a complaints process and inspectors found that concerns were generally listened to and acted on.

    People's complaints were listened to, and the provider took appropriate action to resolve things when people were dissatisfied with their care.from the report
  • Some staffing arrangements

    Inspectors did not identify a general shortage of staff during the visit. Rotas included one-to-one support for people who needed it.

    The provider ensured there were sufficient numbers of suitable staff.from the report
  • Consent processes

    Staff described seeking consent, and the home completed mental capacity assessments and followed authorised deprivation of liberty arrangements.

    Staff ensured people were cared for in line with the authorisation, so people had the least restrictive care.from the report
What inspectors were concerned about
  • Immediate safety risks

    serious

    People could not always summon help when needed. Pressure sore prevention was not reliably carried out, hazardous cupboards were left unlocked and a damaged door remained unsafe.

    Many people's call bells were out of reach and care plans contained conflicting information about people's ability to use the call bell to summon help.from the report
  • Medicines not managed safely

    serious

    Some doses were missed, medicine records had unexplained gaps and storage temperatures were too high. The home could not assure inspectors that medicines were given as prescribed.

    People were placed at risk of ill health by not receiving their medicines in line with prescriber's directions and national guidance.from the report
  • Poor hydration support

    serious

    Some people did not have drinks within reach, and fluid records did not consistently show that targets were met. This placed people at risk of dehydration.

    Many people did not have any fluid within reach and were not being supported to take adequate fluids.from the report
  • Care not consistently kind or dignified

    needs fixing

    Inspectors saw uncaring interactions and people were not always given enough attention or help during meals. Some people were left in an undignified state.

    We observed examples of indifferent, uncaring interactions between staff and people receiving care.from the report
Questions to ask them, based on this report
  1. 01What has been done to make sure call bells are within reach and answered quickly?
  2. 02How are medicines, including time-sensitive medicines and patches, now checked and recorded?
  3. 03How do you make sure people meet their individual fluid targets every day?
  4. 04What specific training have staff received for dementia, mental health, epilepsy and diabetes?
  5. 05How are care plan audits, incident investigations and maintenance checks now followed through to completion?

This was a comprehensive inspection under the new provider and covered the home, the care provided, records, medicines, staff and management across all five key questions. This explanation was written from the published report of 11 January 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of The Oaks

6 rated inspections over 9 years: the service has slipped, from Requires improvement to Inadequate.

  1. January 2024Inadequatecurrent rating
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read what inspectors found at The Oaks

  2. November 2020Inspected but not rated
    Safe: Inspected but not rated
  3. June 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. August 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementWell-led: Requires improvement
  5. May 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
  6. July 2016Goodup from Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
  7. May 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
  8. October 2021

    Registered with the Care Quality Commission on 18 October 2021.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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